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HomeMy Public PortalAbout5707 ROWLAND AVE_Electrical__ 'BAeee-°EBQB,.>,B APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY . FOR APPLICANT TO FILL IN NEAREST PERM FEES CROSS ST I T E M I NUMHERJ EACH PER OWNER OUTLET �J $ . $ MAIL l LIGHTS RWEPTp(, .. 10 ADDRESSwd r LIGHTING FIXTURES .16 Q CITY TEL. O. ELEC. RANGES CLO. DRYERS ELECTRICIAN WATER HEATERS .5O. ADDRESS ' r ELEC.SPACE HTRS. DISHWASHERS 43 CITYTEL. NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA. COOKING UNITSQ, .25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRICT NO. I 7r ONE i PROCESSED BY 0— va O .28 A. 1/a— 2 SO ngSPE=ON RECORD 2— 5 1.00 5— 18 1.50 p 18— SO 2.50 / ,5 U SO—200 5.00 7 r eol SIGNS: NO. TRANS. 7e/ s NO. LAMPS '74' SERVICE O-SOOV 1.00 - t SERVICE OVER SOOV 5.00 MISC. -i �- - WIRING PERMIT 1.00 /j y 46 FIXTURE 6 ._ FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT 50 � �a ,tyt - G .f?s�aw,�e(Gu r' TOTAL FEE APPROVALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR-gj SIPHATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT S 2 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING .1 HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND.STATE OF FIXTURES CALIFORNIA OR THAT M THE LEGAL OWN OF THE ABOVE DESCRIBED RESIDENTI P PERTY POWER SIGNATURE UTILITY CO.NOTIFIED S l? f OF PERMITTEE FINAL V ! J1 ,3 LMATION ARTHUR C.' VEIT, tQ No CASH SUPERVISING ELECTRICAL ENGINEER �./I to 3 b.8 6M rpt 5 2 A 12.5 5 A S 7GA663_CEDOG-11_B7APPLICATION FOR ELECTRIC PERMIT 1` COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BMDING AND SAFETY DMSION ADDRESS rr011ri A:.LAMBIB: Coua1T es CASSATT D.GRIFFIN.Sup!of$u9lding LOCALITY fiti. \ FOR APPLICANT TO FILL IN c.OSS ST. d PERMT FEES �yJ ITEM NUMBER A EACH FEE OWNER OUTLETS: $ $ MAIL LIGHTS RECEPT. w.. 10 ADDRESS d LIGHTING FIXTURES .10 CITY i-Y.6 NO. Q ELEC.RANGES CLO.DRYERS ELECTRICIA/Ny WATER. HEATERS •50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS GARBAGE DISPOSERS AUTO.- CITY TEL.NO. el g Ad 41 WASHERS STA.COOKING UNITS .25 STATE / - LICENSE NO. •(� MOTORS: OVER INC. H.P. DISTRICT N1, I GRO PZ NE READY FOR...I. T10N O— 1/2 .25 f 1/2 — 2 .50 2 — 5 1.00 INSPECTION RECORD 5 — 15 1.50 15 SO 2.50 50— 200 5.00 SIGNS:' NO.TRANS. - NO.LAMPS SERVICE 0-SOOV 1.00 ate► SERVICE OVER.600V 5.00 MISC. WIRING PERMIT I.AO FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50' TOTAL FEE g APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY'REGISTERED AND/OR FIXTURES LICENSED.AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE UTILITY CO.NOTIFIED Et .�- OF PERMITTE FINAL IAT ARTH U RC.V EIT. �"�• CK MO CASH SUPERVISING ELECTRICAL ENGINEER �; 2374� X11 2 A 2.20 75A6 -CEBQ�6l*-SP yAPPLICAT.ION FOR ELECTRICAL PER -COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 13UILDING AND SAFETY DIVISION JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS e COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING _ LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO.. EACH FEE _ s $ OWNER REGEPT, MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS. SWITCH .�' OVER 20. .10 CITY TEL. NO. LIGHTING TOTAL ' FIRST 20 .20 CONTRACTOR EA w- FIXTURES OVER 20 .10 ADDRESS AANG:E'_DRYER_WTR.HTR._ _ CITY`&o /T'EL. NO. e(J STA.COO K_D19P'._F.A.U._ LICENSE N.O. 17 -a- v7 .SPACE HTR. AIR COND. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH.-DISHWASH._ WITH. ALL COUNTY ORDINANCES AND STATE LAWS REGULATING E LECTR WAL WIRING. FAN-OTHER. 1.001 1 HEREBY CERTIFY THAT 1 AM PROPERLY .REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND. STATE OF MOTORS.,TRANSFORMERS RATINGCALIFORNIA OR THAT I AM THE LEGAL•OWNER OF',.AND INTEND TO IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOVE, DESCRIBED RESIDENTIAL PROPERTY. SIZE & TYPE OVER TO SIGNATURE 0 — 1• 1.0.0 OF PERMITTEE d 1 - 10 3.00 DISTRICT N-01 GRO Z P O D B V 1.0 — so 5.00. O 50 — 100 1.0.00 NOTES: b W 100 _ 500 15.00. D' N. SIGN,GAS TUBE, OR SIGN AND ONE CIRCUIT 3.00 MARQU.EE ADDITIONAL CIRCUITS 1.00 'SERVICE NOT OVER 600 VOLTS.OR 200'AMP 2.00 SERVICE,OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00. APPROVALS. DATE INS.PE OR'S 5 NA WRE TEMP. POWER POLE UNDERSLAB WORK. ROUGH CONDUIT WIRING ISSUING FEE 2.001 t FIXTURES SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED PERMIT.FEE UTILITY CO.NOTIFIED PLAN.CHECK FEE (50% PERMIT FEE) .FINAL TOTAL FEE O. JOSEPH C. ROOHAN. SUPERVISING ELOCK.. AL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT,VALIDATION . M.O. CASH -3.7.� 7 t t25 �}�= 3.20- cc 17 y' EE BACK.OF APPLICATION FOR COMPLETE FEE SCHEDULE /C,G'l/Y//�"1'iYef/1'•� WORKERS'COMPENSATION DECLARATION CE-806 1.0/87 APPLICATION FOR ELECTRICAL PERMIT I r�tp+ reby affirm that I have a certificate of, consent to__Of f insure, CE-8060 0. certificate of Workers'Compensation Insur a certified i 'COUNTY OF LOS'ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) Policy No. in . I FOR APPLICANT TO FILL IN JOB ❑- Certified copy' am furniahed: N.� Residential Bldgs.&Pools EACH NO. FEE ADDRESS ❑ Certif' copy is filed with the county building inspection 1 &2-Family,Sq.Ft. $ — $ LOCALITY d rtment. Multi-family Sq.Ft: NEAREST -CROSS ST. Da Applicant Residential Swimming Pools OWNER.OR FIRM NAME • CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL First 2 COMPENSATION INSURANCE Outlets:Rec_Light_ t 20— ADDRESS' (This section need not be completed,if the work Involved by the . l No permit is for one hundred dollars($100)or less.) Tota . Additional CITY f! Tel.No: I certify that in the performance of the work for which.this.permit PLAN CHECK is issuede I shall not employ.any person in eriy manner so as to APPLICANT become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS 'Total No. Additional CITY Tel.No.. Date Applicani Fixed'Appliances Not Over 1 HP PERMIT NOTICE TO.APPLICANT: If, after making this Certificate of i Exemption,you should become subject to,the Workers'Compensation Range_ Heater_ D.W. _ APPLICA r provisions of the Labor Code,you must forthwith comply with such -Oven Dryer.— W.M._ ADDRESS provisions or this permit shall be deemed revoked. . CITY Tel.N". Top. FAU WKo • LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_' - ���k1 I hereby affirm that I,am licensed under provisions of Chapter 9 Disp. Room'Air Cond. LICENSE'OR GJ O Class. -�'j( (commREG.NUMBERencing with Section 7000)of Division 3 of the Business and � Professions Code,and my license is-in full force and effect. pp r apparatus&Large Appliances DISTRICT NO. ��j�. �y/ PROCESSED BY / Slze&Type HP,KW,KVA,or KVAR License Numb.1701PI,L Lic.Class�` Up to 1 Incl. FINAL (� DATE Over i,to 1VA TION 0.Incl. , Contrac�l+,„ Dam. + • Over 10 to 50 Incl. FINAL ❑ I am exempt under Sec. i Over 50 to.100'Inc. BY W B.&P.C.for this reason Over'100 p. Services,Swbd.,MCC&Panelboa�Ird ,/ N Date. 0 .200 Amp.Under 600 V polo �: Signature 201 - 1-000-Amp.Under 600 r Over 1000 Amp.or Over 600 V Exemption for Reg.Matnt.Elect.. , s SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DEC TION Sign with-One Branch Circuit. I hereby affirm that I am exempt from th.. ontraetor's License Law additional Sign Branch Circuits for the following reason,(Section 703 Business and Professions Code): , i ❑ Misc.Conduits,&Conductors I,as owner of therprop will do the work and the structure. Other(See Complete Fee Schedule) _ is not intended or of red for sale (Section 7044, Business ► and Professions C e), CONST CTION LENDING AGENCY I hereby,affirm the here is a construction lending agency for the performance of t work for.-which this permit is'issued(Sec.3097, PERMIT FEE (Sub:Total) CIV.CO. PLAN CHECKING FEE t, �;, ; 7 ._I ;,� ly Lender's N e ; •6 l yti� PERMIT ISSUING FEE ,. •; ,� a. 1r+ ,� ,.a Lenders Address r ' : , .7.1 ` r— I certify that I have read this application and.state that the above TOTAL FEE I "+ I fl' information is correct.1 agree to comply with all County ordinances �i and State laws regulating Electrical wiring, and hereby authorize representatives of this C aunty to enter.upon the above-mentioned props for' spectto ` SEE REVERSE FOR EXPLANATORY LANGUAGE T-ZO!7 , . - li ;U sti 9 Q !ri Sig /nature. rmittee to rd [ .I �, 'COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1302060046 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BQILDING ADDRESS: ITR: 6561 IT: 401 1 I 5707 ROWLAND AV I FEE DESCRIPTION: QUANTITY: UOM: AMOUNT-[ TEMP CA 917802617 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LIVE OAK 1 18587-029-003 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI I IF1 120V, 15/20A BR CKTS 3.00 BR 51.90 1 1 (TENANT: IG1 OUTLETS-LGT,SW,RECP 47.00 OUT 75.30 (ISSUED ON: PROCESSED BY: PLAN BY: I IG2 LIGHTING FIXTURES 25.00 LGT 45.70 02/07/13 SR 1 H2 RES GRBG DISP IT 3HP 1.00 DIS 11.00 1 I [OWNER: TEL. NO: H3 RES DISHWASHR IT 3HP 1.00 DIS 11.00 IFINAL DATE FINAL BY: CODE: [ TRIEU, MAI (626) 315-6902- IH4 RES RANGE HDS IT 3HP 1.00 HOO 11.00 I I 5707 ROWLAND AV 1 TOTAL FEES 233.70 I 1 ITEMP 917802617 DIMCRIPTION OF WORK 1 1 I 13 BRANCH CIRCUITS, 47 OUTLETS, 25 LIGHT FIXTURES, GARBAGE [ IDISPOSAL, DISHWASHER AND RANGE HOOD I (APPLICANT: TEL. NO: I I 1 ILO, GILBERT (626) 234-4118- I I I �2200 S FREMONT AVE 1 ISPECIAL CONDITIONS: [ ALHAMBRA CA 91803 I I I I ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE I IG & YONG CONSTRUCTION INC (626) 234-4118- I 1 12200 S FREMONT AVE #200 LIC. NO 1 [TEMPORARY POWER POLE 1ALHAMERA CA 91803 795058 I [ I 1 1 (UNDERGROUND CONDUIT 1 1 (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND 1 1 I LIC. NO: I IROUGH CONDUIT I I 1 TROUGH WIRING �I I IMAIN WATER LINE 1 [ I [ I IPLASTIC Y/N METAL Y/N I I 1 I I [UTILITY COMPANY NOTIFIEDI 1 [ I I I I 1 I I I I I I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: ES0508 I I I 1 I I I I